Anna Carroll, FNP
Individual provider Active NPI Family Nurse Practitioner · Adamsville, TN
NPI 1104168889 · NPPES record last updated May 2, 2018
Key facts
- NPI
- 1104168889
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 17508 (TN)
- Practice address
- 409 Park Ave
Adamsville, TN 38310-2461 - Phone
- (615) 673-6737
- Fax
- (800) 474-4039
- NPI assigned
- Mar 20, 2013
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 4
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Hometown Healthcare Clinic LLC
Practice addresses (Care Compare)
80 Lewis St
Savannah, TN 38372-3109
Phone (731) 400-4889
Hospital & facility affiliations
- Hardin Medical Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TN
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20130520000066 | TN | Practitioner - Nurse Practitioner | 9537306170 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 17508 | TN | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hometown Healthcare Clinic LLC | Family | Current |
Accepting new patients |
| Hardin County General Hospital | Past |
Accepting new patients | |
| HMC Physician Services | Past |
Accepting new patients | |
| Hardin County General Hospital | Past |
Accepting new patients |
Locations
80 Lewis St
Savannah, TN 38372
Phone (731) 400-4889
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/FJHGCD
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 17508 | TN | Yes |
Addresses
Primary practice location
409 Park Ave
Adamsville, TN 38310-2461
Mailing address
80 Enoch Blvd
Suite a
Savannah, TN 38372-2231
Phone (731) 926-9600
Other practice location 1
80 Enoch Blvd
Suite A
Savannah, TN 38372-2231
Phone (731) 926-9600
Other practice location 2
73 White Bridge Rd Ste 103-243
Nashville, TN 37205-1444
Phone (615) 673-6737
Other providers in Adamsville, TN
- Bradley Family Dentistry Inc
- Allison Jack Bradley
- David A Bradley
- Maxwell Bradley
- Sherri Brown
- Compass Therapy Services
- Compass Therapy Services
- Heather Cooper
- David Bradley DDS Inc.
- Randall N Deaton
All providers in Adamsville, TN · Family Nurse Practitioner in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 2, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.